Provider Demographics
NPI:1356785141
Name:GEARLDS, AMY CARTER (DO)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:CARTER
Last Name:GEARLDS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:201 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-1759
Mailing Address - Country:US
Mailing Address - Phone:270-781-4043
Mailing Address - Fax:270-781-4196
Practice Address - Street 1:990 WILKINSON TRCE
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-3404
Practice Address - Country:US
Practice Address - Phone:270-781-4043
Practice Address - Fax:270-781-4196
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2016-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYR3203207Q00000X
KY03913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine